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Eyelid Surgery
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Question: I went in for an eye exam with an opthamologist the other day. He said that
my vision would improve significantly if he performed a surgery on my
eyelids that raised them higher. He is going to perform some tests to
measure the improvement in my eyesight with raised eyelids and send them to
my health insurance company to procure coverage. Is this a common surgery?
Answer: Blephatoplasty is considered: 1.cosmetic surgery (personal choice to
effect a change in the way you look), 2. functional surgical repair,
which may be medically necessary (reducing or eliminating droopy lids
to fix tearing dysfunction, chronic eyelid infection, cornea abrasion or
blocking the pupil, obscuring vision, reducing peripheral vision.
Insurance providers sometimes pay/help pay for this procedure if it is
"medically necessary".
It's one of the more common "plastic surgeries" and is also fairly quick
and easy with minimal risks and a great many good outcomes. But as in
any surgery, there are risks, and surgical skill is a must. (Shouldn't
it always be? Strange to have to write that ;-(
I would add that oftentimes people do not realize the overall effect of
droopy lids, which can make you feel tired (not to mention *look*
tired), cause itchy eyelids, lid skin rashes, lead to chronic
conjunctivitis. Not to mention decrease of superior field of view. It
happens gradually ans many people "get used to it" or tune it out, until
something (or somebody) awakens them to what's going on.
Curiously, for some people, as the lid margin begins to obscure the
pupil, vision actually improves! The pupil openning is narrowed and
"stopped down" in photography-speak---creating an increased depth of
focus and decrease in astigmatic error. Vision gets better. Strange,
but true.
Personally, I'm going to have it done, one day. The heavy lid feeling is
annoying, especially at night, and I think it might be imparing my
contact lens fit. Hey----medically necessary!
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